| NPI | 1083157374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RIVERA Credentialing Specialist 212-759-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028851-1) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: NY 024877-1) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2019-09-20 |